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The progress of proton exchange membrane fuel cells (PEMFCs) in the clean energy sector is notable for its efficiency and eco-friendliness, although challenges remain in terms of durability, cost and power density. The oxygen reduction reaction (ORR) is a key sluggish process and although current platinum-based catalysts are effective, their high cost and instability is a significant barrier. Single-atom catalysts (SACs) offer an economically viable alternative with comparable catalytic activity for ORR. The primary concern regarding SACs is their operational stability under PEMFCs conditions. In this article, we review current strategies for increasing the catalytic activity of SACs, including increasing active site density, optimizing metal center coordination through heteroatom doping, and engineering porous substrates. To enhance durability, we discuss methods to stabilize metal centers, mitigate the effects of the Fenton reaction, and improve graphitization of the carbon matrix. Future research should apply computational chemistry to predict catalyst properties, develop in situ characterization for real-time active site analysis, explore novel catalysts without the use of platinum-based catalysts to reduce dependence on rare and noble metal, and investigate the long-term stability of catalyst under operating conditions. The aim is to engineer SACs that meet and surpass the performance benchmarks of PEMFCs, contributing to a sustainable energy future.